Treatment of pain in the middle of the upper part of the back involves identifying the causes of this phenomenon, including long-term muscle strain, trauma, and inflammation of the soft tissues and diseases of the thoracic spinal cord. Long-term strain, exertion, and trauma can cause damage to muscle groups, which can lead to this pain. In addition, patients who suffer from fasciitis, supraspinous ligamentitis, and interspinous ligamentitis of the neck and back can also have pain. You can pay attention to keep warm, do not overexert yourself, carry out hot compresses, Chinese herbal fumigation or electrotherapy, microwave therapy, medium-frequency electrotherapy, etc. Topical ointments to reduce swelling and pain can reduce sterile inflammation, so that the muscles can recover quickly and can play a role in pain relief. If the pain is caused by a disease of the thoracic spinal cord, a magnetic resonance imaging of the thoracic spinal cord should be done to confirm the diagnosis and treat the cause for different reasons, such as myelitis, spinal cord tumor, spinal cord hemorrhage, etc.